Organization
GULFMED CENTERS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IRAJ GOLZARI MD (MD)
(941) 497-0377
Entity
Organization
Contact information
Practice address
1869 S TAMIAMI TR, VENICE, FL 34293
(941) 497-0377
(941) 497-0278
Mailing address
1869 S TAMIAMI TR, VENICE, FL 34293
(941) 497-0377
(941) 497-0278
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
ME0046011
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0100-6372
RR MEDICARE
FL
01
—
2065681
AETNA
FL
01
—
CN4296
RR MEDICARE
FL
Enumeration date
09/28/2006
Last updated
06/28/2010
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